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    ATI NURS 306 Maternal Newborn Proctored Exam

    The nurse is caring for a client in labor at term. The nurse reviews the external monitor tracing below. The nurse identifies that the deceleration pattern seen indicates which of the following?

    Explanation & Rationale

    Choice A rationaleCord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.Choice B rationaleHead compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.Choice C rationalePlacental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.Choice D rationaleReactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.

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